ENROLLMENT AGREEMENT
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Student Section: to be completed by the student (Incomplete information will cause a delay in processing this form)
Academ
ic Year 20____/20____
Student Name – As Printed on Social Security Card (Please Print) Hiring Site Name
- -
Social Security Number Supervisor Name (Please Print) Phone # and Extension
Special Circumstances:
I , certify that I will enroll and attend Riverside City College for the following
As Printed on Social Security Card
semester(s) VHOHFWHG below:
Fall Spring
Failure to enroll and attend the above circled semester at least half time could jeopardize future assistance for which I apply.
My Student Education Plan (SEP) copy has been attached, and below are the projected classes
I intend to take for the
semester indicated above:
The total number of units that I plan to enroll in is units for the above term.
This form is for the purpose of m aintaining student em ployment with Riverside City College. This Document
will be kept on file as evidence of m y intent. I m ust be enrolled at least half-time during the sem ester stated
above (Fall or Spring 6 or more units). By signing below I ag ree to the term s as stated above and that all inform ation is
accurate and true.
Student’s
Signature Date
Supervisor Section: to be completed by the supervisor (Incomplete information will cause a delay in processing this form)
This
form is for the purpose of m aintaining student employment for the above nam ed student with Riverside City
College. This document will be kept on file as evidence of the student’s intent. Students m ust be enrolled at least
half-tim
e during the sem ester stated above (Fall or Spring 6 or more
units). By signing below I agree to continue
employment of the above named student in accordance with the terms stated above.
Supervisor’s
Signature Date
Before being approved all budgets that the student is hired in will be checked for funding availability.
Original: Student Employment 1 Copy: Supervisor 1 Copy: Student
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